[Outcome after plate stabilization of symphyseal diastasis]. / Ergebnisse nach Plattenstabilisierung der Symphysensprengung.
Unfallchirurg
; 123(11): 870-878, 2020 Nov.
Article
en De
| MEDLINE
| ID: mdl-32347368
ABSTRACT
BACKGROUND:
Separation of the pubic symphysis with corresponding diastasis can be stabilized by symphyseal plating.OBJECTIVE:
Which pelvic injuries are stabilized with symphyseal plating and what is their outcome? MATERIAL ANDMETHODS:
A retrospective evaluation of 64 patients who underwent symphyseal plating over a period of 24 months was conducted.RESULTS:
Of the patients 56 were male and 8 female with a mean age of 44 years (SD⯱ 17 years). The main cause of the pelvic injuries were traffic accidents. The distribution according to the AO fracture classification was 14â¯× B1, 10â¯× B2, 5â¯× B3, 23â¯× C1, 9â¯× C2 and 3â¯× C3 injuries. The distribution according to the Young and Burgess classification showed 9â¯× APC I, 18â¯× APC II, 13â¯× APC III, 9â¯× LC I, 3â¯× LC II, 2â¯× LC III and 10â¯× VS injuries. The mean Injury Severity Score (ISS) was 32 (SD⯱ 17) and the mean inpatient stay was 29 days (SD⯱ 16 days; positive correlation pâ¯≤ 0.001). Radiological implant loosening occurred in 52 patients. 14 patients required treatment for severe complications. The leading reason for revision surgery was implant failure (nâ¯= 8).CONCLUSION:
These observations suggest that radiological signs of implant loosening are commonly observed but rarely the reason for revision surgery. Complete implant failures, however; occur mainly within the first postoperative weeks and require early revision. A timely clarification by additional X-ray imaging should be carried out if this is suspected.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Huesos Pélvicos
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Sínfisis Pubiana
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Placas Óseas
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Fracturas Óseas
Tipo de estudio:
Observational_studies
Límite:
Adult
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Female
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Humans
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Male
Idioma:
De
Revista:
Unfallchirurg
Asunto de la revista:
TRAUMATOLOGIA
Año:
2020
Tipo del documento:
Article